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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EDISON
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1630
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1600 - Food Program
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PR0527301
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BILLING_2022
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Entry Properties
Last modified
10/11/2022 9:26:54 AM
Creation date
10/11/2022 9:23:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0527301
PE
1628
FACILITY_ID
FA0018492
FACILITY_NAME
GOOD SAMARITAN REHAB & CARE
STREET_NUMBER
1630
Direction
N
STREET_NAME
EDISON
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
13705001
CURRENT_STATUS
01
SITE_LOCATION
1630 N EDISON ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0032690 GOODSAMARITAN_1630@YAHOO.COM;GEORGELINAYAO@YAHOO.COM
EmailSent
10/11/2022 9:26:52 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0527301
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1628 LICENSED HEALTH CARE FACILITY <br /> Permit ID# PT0019100 for Record ID # PR0527301 <br /> Valid From 8/1/2022 To 7/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GOOD SAMARITAN REHAB & CARE <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: GOOD SAMARITAN REHAB &CARE Facility ID FA0018492 <br /> 1630 N EDISON ST Account ID AR0032690 <br /> STOCKTON, CA 95204 Issued 10/11/2022 <br /> Billing Address: ATTN : <br /> GOOD SAMARITAN REHAB & CARE <br /> 1630 N EDISON ST <br /> STOCKTON, CA 95204 <br /> 7024.rpt End of report <br />
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